Utilization management jobs in Melrose, NYCreate job alerts

Department/Unit: Education And Develop Work Shift: Day (United States of America) Salary Range: $71,547.00- $118,053.00 Salary range will be prorated based on hours worked. The Education Specialist is expected to utilize their knowledge and skills to accomplish the goals of the organization. T...

Department/Unit: HBD - OBGYN Generalist Work Shift: Day (United States of America) Albany Med is the premier health care system in Northeastern New York. It is the region’s only academic health sciences center, comprised of Albany Medical Center Hospital, Albany Medical College, the Albany Med ...

Excellent organizational skills including tool utilization (spreadsheets, project management tools, mind maps), information collection, attention to detail, and prioritization * Strong interpersonal ...

Identify utilization and waste reduction opportunities. * Collaborate with Buyers and Analysts in ... The only company to be recognized by KLAS twice for Overall Healthcare Management Consulting ...

Reviews all new admissions to identify patients where utilization review, discharge planning, and/or case management will be needed using standardized criteria to achieve optimal patient outcomes and ...

Progyny is looking for a Utilization Management Coordinator to support all utilization review cases. This coordinator will be directly responsible for reviewing and analyzing member cases to ...

Discharge Planning/Utilization Management experience preferred. * Word and Excel * Bilingual language skills * Licensed with current Registration to practice as Registered Professional Nurse in NYS

Marketing Statement Lincoln Medical and Mental Health Center is one of New York City's premier acute care hospitals. Located in Downtown Bronx, Lincoln is a teaching hospital renowned for its Centers ...

Qualified candidates will be an experienced Clinician, RN with a Case Management and Utilization Management background, with an emphasis on Case Management and Director level experience. Director of ...

... utilization management and clinical review activities. - Conduct chart reviews and assist with the appeals and grievances process. - Participate in developing clinical models focused on high-risk ...

As a Payer Utilization Management Consulting Manager/Consultant, your primary responsibilities may include: * Enterprise Function Integration * Support the development and implementation of ...

Coordinate with Utilization Management (UM) department on concurrent and retrospective review. Follow up with assigned nurses for clinical updates to care plan. Document within two business day ...

... plan's Utilization Management, Quality Management, Finance, Member Services and Enrollment divisions. Job Description * Develops and articulates the vision and strategic direction for the entire ...

Must have working knowledge of Utilization management to support the patient, ensuring clients receive the best care and support over continuous time to achieve positive clinical outcomes. * Must be ...

Experience educating provider offices in prior authorizations and understanding utilization management criteria. * Ability to work with multiple stakeholders in a collaborative and constructive ...

Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ... management, preferably within a healthcare or hospital setting Exceptional interpersonal and ...

Working knowledge and previous utilization of a CRM tool is preferred. Our benefit offerings include choice of two medical plans and two dental plans, vision insurance, flexible spending accounts ...

Knowledge in pricing and underwriting, financial arrangements, benefit programs and utilization management * Must obtain a NYS Health/Life Agents license within 60 days of employment * In depth ...

The Associate Medical Director (AMD) assists the Medical Director (MD) in the clinical leadership and oversight of the Medical Management unit and the Utilization Management program. The position is ...

... and budgets, utilization of funds, and Development organizational reporting. The Director ... Manage projects fully as assigned. * Oversight of Grant Management including:Plan the project ...

Should have experience in generating reports for utilization, billability, grade pyramids etc. * Experience in planning, organizing and tracking Digital Trainings * Experience in creating management ...

... and utilization using our CRM tools. * Drive Product Improvements: Collaborate with our Product Specialist team to bring back customer feedback and spot new opportunities for growth. * Handle ...

Oversee creative resource allocation across local and global teams, ensuring optimal utilization across locations and operating companies. * Partner with project managers to balance workloads ...

... Resource Management team. This position will work closely with members of the tax practice, HR ... Monitor unassigned resources and their utilization, serving as the primary point of contact for ...